ArticleCrisis2014
Measuring trainer fidelity in the transfer of suicide prevention training.
Article in Crisis, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Strategies and evaluation underpinning the implementation of suicide prevention training: a systematic review.BMC public health · 2025Pooled it
- An Examination of Training Quality and Provider Outcomes Across Two Generations of Train-the-Trainer.Administration and policy in mental health · 2025Trial
- Brief modular anxiety intervention for primary care: Hybrid I pilot randomized controlled trial of feasibility, acceptability, effectiveness, and implementation potential.Journal of affective disorders · 2024Trial
- Effect of the Wingman-Connect Upstream Suicide Prevention Program for Air Force Personnel in Training: A Cluster Randomized Clinical Trial.JAMA network open · 2020Trial
- Tri-sector Partnership for Military Suicide Prevention: Developing, Testing, and Scaling Wingman Guardian Connect.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- What is known about suicide prevention gatekeeper training and directions for future research.Suicide & life-threatening behavior · 2025Review
- Assessing fidelity of design and training of Making Every Contact Count (MECC) in a mental health inpatient setting.BMC public health · 2024Article
- A Pilot Study of Brief, Stepped Behavioral Activation for Primary Care Patients with Depressive Symptoms.Journal of clinical psychology in medical settings · 2023Article
- Preliminary Research Priorities for Factors Influencing Individual Outcomes for Users of the US National Suicide Prevention Lifeline.JAMA psychiatry · 2022Article
- The Fidelity of Training in Behaviour Change Techniques to Intervention Design in a National Diabetes Prevention Programme.International journal of behavioral medicine · 2021Article
- Modernizing Training in Psychotherapy Competencies With Adaptive Learning Systems: Proof of Concept.Research on social work practice · 2021Article
- What Did They Learn? Effects of a Brief Cognitive Behavioral Therapy Workshop on Community Therapists' Knowledge.Community mental health journal · 2016Article
- A Case Study Evaluating the Fidelity of Suicide Prevention Workshops in California.Rand health quarterly · 2014Article
- Impact of Applied Suicide Intervention Skills Training on the National Suicide Prevention Lifeline.Suicide & life-threatening behavior · 2013Article
Corrections and comments
- Erratum issued
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundFinding effective and efficient models to train large numbers of suicide prevention interventionists, including 'hotline' crisis counselors, is a high priority. Train-the-trainer (TTT) models are widely used but understudied.
aimsTo assess the extent to which trainers following TTT delivered the Applied Suicide Intervention Skills Training (ASIST) program with fidelity, and to examine fidelity across two trainings and seven training segments.
methodWe recorded and reliably rated trainer fidelity, defined as adherence to program content and competence of program delivery, for 34 newly trained ASIST trainers delivering the program to crisis center staff on two separate occasions. A total of 324 observations were coded. Trainer demographics were also collected.
resultsOn average, trainers delivered two-thirds of the program. Previous training was associated with lower levels of trainer adherence to the program. In all, 18% of trainers' observations were rated as solidly competent. Trainers did not improve fidelity from their first to second training. Significantly higher fidelity was found for lectures and lower fidelity was found for interactive training activities including asking about suicide and creating a safe plan.
conclusionsWe found wide variability in trainer fidelity to the ASIST program following TTT and few trainers had high levels of both adherence and competence. More research is needed to examine the cost-effectiveness of TTT models.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.